Crest Manor Living and Rehabilitation Center
6745 Pittsford Palmyra Road, Fairport, NY 14450


Crest Manor Living and Rehabilitation Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 335467. The address is 6745 Pittsford Palmyra Road, Fairport, NY 14450. The zip code is 14450. The phone number is 5852233633.


Crest Manor Living and Rehabilitation Center · 6745 Pittsford Palmyra Road, Fairport, NY 14450

Federal Provider Number 335467
Provider Name CREST MANOR LIVING AND REHABILITATION CENTER
Address 6745 PITTSFORD PALMYRA ROAD
FAIRPORT, NY 14450
Phone Number 5852233633
SSA County Code 370
County Name Monroe
Ownership Type For profit - Partnership
Certified Beds 80
Certified Beds Residents 70
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name CREST MANOR LIVING AND REHABILITATION CENTER INC
Date First Approved to Provide Medicare Medicaid Services 01/01/1976
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 4
Health Inspection Rating 3
Quality Measure Rating 3
Staffing Rating 4
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 2.39929
Reported LPN Staffing Hours per Resident per Day 0.58357
Reported RN Staffing Hours per Resident per Day 0.94714
Reported Licensed Staffing Hours per Resident per Day 1.53071
Reported Total Nurse Staffing Hours per Resident per Day 3.93
Reported Physical Therapist Staffing Hours per Resident Per Day 0.09786
Expected CNA Staffing Hours per Resident per Day 2.45505
Expected LPN Staffing Hours per Resident per Day 0.62778
Expected RN Staffing Hours per Resident per Day 0.99229
Expected Total Nurse Staffing Hours per Resident per Day 4.07513
Adjusted CNA Staffing Hours per Resident per Day 2.39797
Adjusted LPN Staffing Hours per Resident per Day 0.77155
Adjusted RN Staffing Hours per Resident per Day 0.7132
Adjusted Total Nurse Staffing Hours per Resident per Day 3.88735
Cycle 1 Total Number of Health Deficiencies 4
Cycle 1 Number of Standard Health Deficiencies 4
Cycle 1 Number of Complaint Health Deficiencies 2
Cycle 1 Health Deficiency Score 16
Cycle 1 Standard Survey Health Date 09/30/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 16
Cycle 2 Total Number of Health Deficiencies 7
Cycle 2 Number of Standard Health Deficiencies 7
Cycle 2 Health Deficiency Score 28
Cycle 2 Standard Health Survey Date 09/04/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 28
Cycle 3 Total Number of Health Deficiencies 2
Cycle 3 Number of Standard Health Deficiencies 2
Cycle 3 Health Deficiency Score 8
Cycle 3 Standard Health Survey Date 08/25/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 8
Total Weighted Health Survey Score 18.667
Number of Substantiated Complaints 1
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Crest Manor Living and Rehabilitation Center

Owner Name Role Association Date
BARTHOLOMEW, ALAN (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
70%
since 09/20/2005
BARTHOLOMEW, ALAN (Individual) DIRECTOR since 02/01/2017
BARTHOLOMEW, ALAN (Individual) OPERATIONAL/MANAGERIAL CONTROL since 09/01/2005
MORPHET, DANIEL (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
30%
since 09/20/2005
MORPHET, DANIEL (Individual) DIRECTOR since 09/20/2005

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